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Individual

GWENDOLYN ROSE HICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 W SUNNYSIDE AVE STE 201, CHICAGO, IL 60640-5684
(847) 284-4936
Mailing address
1025 W SUNNYSIDE AVE STE 201, CHICAGO, IL 60640-5684

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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